Organization
JASON R. KOH, D.O. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ROBERT KOH D.O. (PRESIDENT)
(562) 595-0790
Entity
Organization
Contact information
Practice address
2840 LONG BEACH BLVD STE 465, LONG BEACH, CA 90806-1594
(562) 595-0790
(562) 595-0839
Mailing address
6771 WARNER AVE UNIT 3976, HUNTINGTON BEACH, CA 92605-7041
(562) 595-0790
(562) 595-0839
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A10104
CA
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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